# PHABULOUS CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598142168
- **Authorized official:** PHABILLIA AFFLACK M.D (PRESIDENT)
- **Authorized official phone:** (347) 585-4987

## Contact information

- **Practice address:** 1719 LAS PALMITAS ST, SOUTH PASADENA, CA 91030-3530
- **Practice address phone:** (323) 283-9877
- **Mailing address:** 1719 LAS PALMITAS ST, SOUTH PASADENA, CA 91030-3530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C55443 | CA | Yes |

## Other

- **Enumeration date:** 05/02/2015
- **Last updated:** 05/02/2015
